Individual provider Active NPI

Leonard Jerome Astrauskas, MD

  • Internal Medicine Physician
  • Port Orange, FL
National Provider Identifier
1891800512
Registry record updated Apr 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME167667 Issued in FL
Practice address
740 Dunlawton Ave Ste 200
Port Orange, FL 32127-4240
Phone
(386) 763-1000
Fax
(386) 763-0507
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 040817 CT
Internal Medicine Physician 207R00000X ME167667 FL Primary

Addresses

Primary practice location

740 Dunlawton Ave Ste 200
Port Orange, FL 32127-4240

Mailing address

740 Dunlawton Ave Ste 200
Port Orange, FL 32127-4240
Phone (386) 763-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250426000013 FL Practitioner - Internal Medicine 4486614237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.38 of 100Reported as group
Quality
63.01
Promoting interoperability
98
Improvement activities
40
Cost
72.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
040817CTMDInternal Medicine Physician
ME167667FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Health Care Plan, Inc CurrentSince Apr 14, 2025 Accepting new patients
Florida Health Care Plan, Inc CurrentSince Apr 14, 2025 Accepting new patients
Memorial Hospital-West Volusia Inc Past Accepting new patients
Florida Hospital Healthcare Partners, Inc Internal Medicine Past Accepting new patients

Locations

740 Dunlawton Ave
Ste 200
Port Orange, FL 32127
Phone (386) 763-1000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1891800512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 DUNLAWTON AVE STE 200",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274240",
            "telephone_number": "386-763-1000",
            "fax_number": "386-763-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 DUNLAWTON AVE STE 200",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321274240",
            "telephone_number": "386-763-1000",
            "fax_number": "386-763-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASTRAUSKAS",
        "first_name": "LEONARD",
        "middle_name": "JEROME",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "040817",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME167667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

Verify at the official NPI Registry.